CLIA lab

CLIA 11D1016701: Grace Medical Clinic PC

Griffin, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 11D1016701 belongs to Grace Medical Clinic PC in Griffin, GA.

Certificate of Waiver, effective September 5, 2025, expires September 4, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
September 5, 2025
Certificate expiration
September 4, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 5, 2003
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
11D1016701
Lab name
Grace Medical Clinic PC
Address
230 B West College Street, Griffin, GA 30224
Phone
(678) 688-1155
Fax
(678) 688-5071

Annual test volume the lab reported

Waived tests
5,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Griffin, GA

Related

Questions

What is the CLIA number for Grace Medical Clinic PC in Griffin?

11D1016701, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Grace Medical Clinic PC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D1016701 expire?

The CMS file lists September 4, 2027 as the certificate expiration date; the certificate took effect September 5, 2025.

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